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Purpose: To compare the masking ability of monolithic CAD/CAM veneers placed over different resin cement shades and substrate colors., Materials and Methods: Veneers were milled from four different monolithic CAD/CAM restorative materials: feldspathic ceramic (VMII), lithium disilicate ceramic (Emax CAD), zirconiareinforced lithium silicate ceramic (VS), and high-translucency zirconia ceramic (YZ-XT). Veneers were luted on natural tooth-colored (ND1) or discolored substrates (ND3 or ND5) using two different resin cement shades (opaque white or translucent). Each CAD/CAM material, resin cement shade, and substrate combination comprised 9 sample veneers (N &#61; 216). Color parameters were obtained using a dental spectrophotometer before and after luting. Color differences (ΔE00) were calculated using CIEDE2000 formula and compared to perceptibility (P &#61; .81 ΔE00 units) and acceptability (AT &#61; 1.77 ΔE00 units) visual thresholds. Color variation data were statistically analyzed using Kruskal-Wallis and Mann-Whitney U tests with Bonferroni-Holm correction (α &#61; .05)., Results: The highest ΔE00 value was obtained in the VMII group placed over a discolored substrate, followed by the Emax CAD, YZ-XT, and VS groups. The effect of material types on ΔE00 values was significantly observed when the veneers were luted on discolored substrates using translucent resin cement (P < .05)., Conclusions: Restorative material type, substrate color, and resin cement shade affect the masking ability of monolithic CAD/CAM laminate veneers.

A fundamental task for the brain is to generate predictions of future sensory inputs, and signal errors in these predictions. Many neurons have been shown to signal omitted stimuli during periodic stimulation, even in the retina. However, the mechanisms of this error signaling are unclear. Here we show that depressing inhibitory synapses shape the timing of the response to an omitted stimulus in the retina. While ganglion cells, the retinal output, responded to an omitted flash with a constant latency over many frequencies of the flash sequence, we found that this was not the case once inhibition was blocked. We built a simple circuit model and showed that depressing inhibitory synapses were a necessary component to reproduce our experimental findings. A new prediction of our model is that the accuracy of the constant latency requires a sufficient amount of flashes in the stimulus, which we could confirm experimentally. Depressing inhibitory synapses could thus be a key component to generate the predictive responses observed in the retina, and potentially in many brain areas., (© 2024. The Author(s).)

Background: This research aimed to evaluate the marginal and internal gaps of crowns, which were produced using both digital and conventional impression techniques and cemented with various types of cement., Material and Methods: For the full ceramic crown restoration, an anatomically prepared acrylic first molar phantom tooth (Frasaco GmbH, Germany) was scanned with Scanner S600 ARTI (Zirkonzahn). 160 PMMA analogues produced from the milling unit. Two impression methods were used: digital impressions by intraoral scanner (Aadva Intra Oral 3D Scanner, GC) and PVS impression. Cerasmart, Initial LRF Block, Zirconia Prettau and ICE Zircon monolithic blocks milled with M1 Milling Unit (Zirkonzahn). Restorations cemented with light-cured and dual-cured cements. (n = 10) Pre and post-cementation 3D images overlap was performed using Geomagic Control X (3D Systems, NC, USA). Data were analysed by using SPSS 25.0. p <0.05 difference was considered significant., Results: Digital impressions were significantly higher than PVS impressions in all groups ( p <0.05). A significant difference was found between the materials ( p <0.05). Cerasmart showed a significantly more marginal gap than the other groups. Prettau and ICE Zircon crowns with the conventional impression group showed a significantly smaller marginal gap than the others., Conclusions: Monolithic crowns fabricated by CAD-CAM using the digital and conventional impression methods had clinically acceptable marginal and internal gaps. Crowns cemented with dual-cured cements showed significantly more marginal gap than light-cure groups. Key words: 3D scanning, Marginal accuracy, Marginal fit, Monolithic crown., Competing Interests: The authors declare no potential conflict of interest., (Copyright: © 2024 Medicina Oral S.L.)

Background: Amelogenesis imperfecta refers a group of hereditary diseases affecting the teeth and can present a variety of clinical forms and appearances, compromising esthetic appearance. Amelogenesis imperfecta variably reduces oral health quality and can result in severe psychological problems., Case Presentation: We present the management of an amelogenesis imperfecta Angle class III malocclusion case with speech, esthetics and functional problems. This is an example of the rarely presented delayed eruption with multiple morphologic dental alterations and edentulous maxilla.There are only a few available reports in which this method is used method to correct sagittal discrepancies in edentulous patients.Our treatment plan consisted of a preoperative diagnostic and prosthodontics phase (including preparation of guiding prosthesis), followed by a surgical phase of Le Fort I osteotomy, distraction osteogenesis to correct the malocclusion, implant insertion and a follow up final restorative phase., Conclusions: Our treatment strategy attempts to serve patient needs, achieving function and esthetics while also minimizing the risk of reconstruction failure. Treatment not only restored function and esthetics, but also showed a positive psychological impact and thereby improved perceived quality of life.

Purpose: To evaluate the effect of implant position, impression, and tray material on the accuracy of implant impressions of edentulous arches with multiple implants., Materials and Methods: Four experimental groups were produced; medium-viscosity polyvinyl siloxane (PVS) was used in 3 groups and polyether was used in 1 group. In PVS groups, different tray types were used; metal stock trays, custom acrylic tray, and full-arch perforated plastic trays. In polyether group, custom acrylic trays were used. The discrepancies in 3 dimensions were measured., Results: The casts obtained exhibited small deviations (7.50-9.71 µm) from the master cast. There was no statistically significant difference between the polyether and PVS groups. Similarly, different tray materials did not produce any statistically significant discrepancies within the PVS groups. There was no significant difference among the groups when the accuracy of anterior implants were compared, but within-the-group comparisons showed that except group 1 (GR1), the posterior implants demonstrated more accuracy than anterior ones., Conclusions: Polyether and PVS can safely be used for the impressions of the edentulous arches with multiple implants and different tray types produce similar accuracy results.